Organization Active NPI

Deg Pharmacy Inc

Doing business as Addison Discount Pharmacy

  • Pharmacy
  • Addison, AL
National Provider Identifier
1912098484
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
111247 Issued in AL
Legal business name
DEG PHARMACY INC
Doing business as
Addison Discount Pharmacy
Practice address
30910 Hwy 278
Addison, AL 35540
Phone
(256) 747-6342
Fax
(256) 747-6106
NPI assigned
Sep 27, 2006
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Godbee, R PHNPI 1376625970
Title
Owner Pres MGR
Phone
(256) 747-6342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 111247 AL Primary

Addresses

Primary practice location

30910 Hwy 278
Addison, AL 35540

Mailing address

PO Box 180 30910 Hwy 278
Addison, AL 35540
Phone (256) 747-6342

Other identifiers 1

IdentifierTypeStateIssuer
0117362OtherNCPDP NABP

Other names 1

  • Addison Discount Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930010524 AL DME Supplier - Pharmacy 0446462972 Practice locations: Addison, AL
O20101112000145 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0446462972 Practice locations: Addison, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1912098484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180 30910 HWY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "35540",
            "telephone_number": "256-747-6342",
            "fax_number": "256-747-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30910 HWY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "35540",
            "telephone_number": "256-747-6342",
            "fax_number": "256-747-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "GODBEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER PRES MGR",
        "authorized_official_telephone_number": "256-747-6342",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "111247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NABP",
            "identifier": "0117362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.